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Latissimus Dorsi Tendon Repair.
John W Belk1, Jonathan T Bravman1, Rachel M Frank1
1Department of Orthopedics, University of Colorado School of Medicine, University of Colorado, Aurora, Colorado, USA.
Video Journal of Sports Medicine
|May 1, 2025
Summary
Surgical repair of latissimus dorsi tendon ruptures effectively restores strength and function, enabling a return to high-level sports within 6-8 months for active patients. This procedure is associated with high patient satisfaction.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Musculoskeletal Research
Background:
- Latissimus dorsi tendon ruptures are rare, typically sports-related injuries occurring during overhead or throwing activities.
- While often treated nonoperatively, surgical repair is considered for young, active individuals aiming for sport return and those with complete avulsions or mid-substance tears.
Purpose of the Study:
- To describe the surgical technique and outcomes for latissimus dorsi tendon rupture repair.
- To evaluate the effectiveness of surgical intervention in restoring function and strength.
Main Methods:
- Surgical technique involves an axillary incision, tendon mobilization, and Krackow suture placement.
- Fixation to the humerus is achieved using Arthrex Pec Buttons after decorticating the footprint.
- The procedure includes visualization and inspection to ensure correct tendon placement and hardware security.
Main Results:
- Postoperative rehabilitation up to 6 months leads to near-complete restoration of patient functionality and strength.
- Return to full activity is achievable within 6 to 8 months following acute repair.
Conclusions:
- Surgical repair of latissimus dorsi tendon ruptures is effective for restoring upper extremity strength and function.
- The procedure is associated with high patient satisfaction and successful return to sport.

